PT  - JOURNAL ARTICLE
AU  - Louis Z Cai
AU  - Jeffrey Lin
AU  - Matthew R Starr
AU  - Anthony Obeid
AU  - Edwin H Ryan
AU  - Claire Ryan
AU  - Nora J Forbes
AU  - Diego Arias
AU  - Michael J Ammar
AU  - Luv G Patel
AU  - Antonio Capone
AU  - Geoffrey Guy Emerson
AU  - Daniel P Joseph
AU  - Dean Eliott
AU  - Omesh P Gupta
AU  - Carl D Regillo
AU  - Jason Hsu
AU  - Yoshihiro Yonekawa
ED  - ,
TI  - PRO score: predictive scoring system for visual outcomes after rhegmatogenous retinal detachment repair
AID  - 10.1136/bjophthalmol-2021-320440
DP  - 2021 Nov 23
TA  - British Journal of Ophthalmology
PG  - bjophthalmol-2021-320440
4099  - http://bjo.bmj.com/content/early/2021/11/23/bjophthalmol-2021-320440.short
4100  - http://bjo.bmj.com/content/early/2021/11/23/bjophthalmol-2021-320440.full
AB  - Background/aims To compare risk factors for poor visual outcomes in patients undergoing primary rhegmatogenous retinal detachment (RRD) repair and to develop a scoring system.Methods Analysis of the Primary Retinal detachment Outcomes (PRO) study, a multicentre interventional cohort of consecutive primary RRD surgeries performed in 2015. The main outcome measure was a poor visual outcome (Snellen VA ≤20/200).Results A total of 1178 cases were included. The mean preoperative and postoperative logMARs were 1.1±1.1 (20/250) and 0.5±0.7 (20/63), respectively. Multivariable logistic regression identified preoperative risk factors predictive of poor visual outcomes (≤20/200), including proliferative vitreoretinopathy (PVR) (OR 1.26; 95% CI 1.13 to 1.40), history of antivascular endothelial growth factor (VEGF) injections (1.38; 1.11 to 1.71), >1-week vision loss (1.17; 1.08 to 1.27), ocular comorbidities (1.18; 1.00 to 1.38), poor presenting VA (1.06 per initial logMAR unit; 1.02 to 1.10) and age >70 (1.13; 1.04 to 1.23). The data were split into training (75%) and validation (25%) and a scoring system was developed and validated. The risk for poor visual outcomes was 8% with a total score of 0, 17% with 1, 29% with 2, 47% with 3, and 71% with 4 or higher.Conclusions Independent risk factors were compared for poor visual outcomes after RRD surgery, which included PVR, anti-VEGF injections, vision loss >1 week, ocular comorbidities, presenting VA and older age. The PRO score was developed to provide a scoring system that may be useful in clinical practice.No data are available.